Medical Claims Research Analyst - Hybrid

Cranial Technologies•Tempe, AZ

5d•Hybrid

About The Position

Cranial Technologies is the only company in the world completely dedicated to researching and treating plagiocephaly (commonly called flat head syndrome). With over 300,000 babies successfully treated with the DOC Band®, we are the plagiocephaly experts and the leader in pediatric cranial shaping orthoses. Cranial Technologies also provides treatment with EarWell® to correct infant ear shapes without surgery. With over 600,000+ successful outcomes, EarWell® is a proven, non-invasive treatment option for families. We’re looking for a full-time Medical Claims Research Analyst to join our Medical Billing and Claims team! The successful candidate has an investigative and curious mind with a passion for solving problems. They are detail-oriented, can multi-task like a pro, and are extremely organized! You’ll be working with a team of dynamic employees who are passionate about the work they do and are dedicated to the babies we treat. Our team members enjoy working and learning in a collaborative setting, are task-oriented and bring a positive mindset to the office! We will train you on all things unique to Cranial Technologies!

Requirements

High School Diploma or Equivalent
1-2 years of customer service or related experience
Heath insurance experience preferred
High attention to detail
Investigative, curious and problem-solving mindset
Exceptional communication and human relations skills in working with people from diverse backgrounds
Strong organizational skills
Ability to multi-task
Professional image in appearance, words and actions
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Responsibilities

Follow-up on claims with insurance companies every two weeks, or as needed
Document all correspondence, payment remits and phone calls into system
Ensure insurance payments are correct according to patient benefits and contracts
Process and document electronic payments daily
Provide support to centers nationwide regarding patient claims and balances due
Communicate with patients in detail regarding payments, denials and appeal information
Provide spreadsheet with full detail of aged accounts.
Identify, track and report insurance payment/denial trends
Communicate with patients regarding unexpected balances
Research and resolve claims processing error and resolve processing issues